预防肝胆外科病人术后深静脉血栓形成的护理  

RESEARCH OF THE NURSING ROUTINE FOR PATIENTS TO REDUCE THE RISK OF DEEP VEIN THROMBOSIS FOLLOWING HEPATOBILIARY SURGERY

作　　者：黄秋兰[1] 容超贤[1] 黄炯强[2] 

机构地区：[1]广州医学院第二附属医院,广东广州510260 [2]广州医学院第一附属医院,广东广州510120

出　　处：《现代医院》2010年第8期70-71,共2页Modern Hospitals

摘　　要：目的使用血栓预防常规方案,研究其预防深静脉血栓形成(DVT)的临床疗效。方法将206例肝胆外科住院病人随机分为实验组和对照组,实验组实施血栓预防常规护理加肝胆外科常规方案,对照组给予肝胆外科常规护理。分别测量术前及术后第4天血浆D-二聚体水平和凝血状态。结果术后第4天实验组D-二聚体水平明显低于对照组。结论血栓预防常规方案能够降低肝胆外科病人术后深静脉血栓形成的风险。Objective To demonstrate the effect of early exercises of patients to reduce the risk of deep vein thrombosis. Methods In the study, 206 cases of hepatobiliary surgery disease were radomly divided into two groups. The experimental group（n = 104） began particular exercise early on the day of surgery. The control group（n = 102） began exercise after the day of surgery according to nursing routine for hepatobiliary surgery. The plasma D - Dimer and coagulation status were tested on pre - operation and 4days after operation. Results The symptoms related to DVT were much more obvious in control group than in the experimental group with significant difference. The plasma level of D - Dimer was more higher in control group than in the experimental group on the 4th day after operation. Conclusion Starting particular exercise earlier on the day of surgery could reduce the risk of deep vein thrombosis after hepatobiliary operation.

关 键 词：预防 肝胆外科病人 术后 深静脉血栓形成 护理 

分 类 号：R47[医药卫生—护理学]